Date for sex thailand
This may be the result of a lack of information about HIV or a lack of access to services.For example, a 2015 UNICEF study of young key populations in Thailand found only 31% of young female sex workers in Bangkok and 50% in Chiang Mai had received any HIV-related information or services in the past 12 months, compared to 80% of the other key populations surveyed such as men who have sex with men and people who inject drugs.24 The same study found that, of the young female sex workers surveyed, only 12% in Chiang Mai and 18% in Bangkok had tested for HIV in the past 12 months.Users are charged US$ 1 a day for their supply of pills, along with counselling and health evaluations.19 In Thailand, HIV prevalence is far greater among male sex workers than female.In 2014, of the estimated 141,769 sex workers in Thailand, HIV prevalence was approximately 12% among male sex workers and 2% among female sex workers.2021 However, urban settings have shown to yield exceptionally high HIV prevalence among female sex workers, such as 20% in Bangkok.22 2013 data suggests that female sex workers account for 10% of all new HIV infections in Thailand.23.44 In 2013, Thailand’s Ministry of Public Health announced a policy to provide health insurance (with antiretroviral treatment coverage included) for cross‐border migrant workers who are not covered by social security, including both registered and unregistered migrants.As of September 30, 2014, the number of migrants who registered with the migrant health insurance stood at 1.4 million, an increase from previous years.45 A 2015 study of young people from key affected populations found testing rates to vary widely between groups – from a low of 12% (young female sex workers based in Chiang Mai) to a high of 73% (young men who have sex with men based in Bangkok).
Chiang Mai was the only city where testing had increased over time, from 22% in 2005 to 43% in 2014.29 There are a number of reasons transgender men and women are being left behind in prevention and treatment work.
Unsafe injecting drug use is the second biggest transmission route.7 Increased access to prevention services has resulted in new infections decreasing among some groups, however they are rising among others.
For example, while the rate of new infections through injecting drug use steadily decreased between 19, the rate of new infections through male-to-male sex dramatically increased over the same period.8 Of all new infections, 50% were among men who have sex with men (sometimes referred to as MSM), male sex workers, and transgender people, making this population a priority for prevention work.9 Overall, in Thailand 9.15% of men who have sex with men are living with HIV, although prevalence varies greatly depending on location.1011 For example, in Bangkok prevalence is estimated at 28.6%.12 Condom use among men who have sex with men is high, estimated at more than 82.1%.13 But, although the availability of prevention services has improved, new infections have not declined as much as intended.14 Prevention programmes also haven’t reached as many young men who have sex with men, meaning they are less likely to know where to obtain an HIV a test, or understand their risk.15 This, alongside a perception of low risk and multi-partner sex fuelled by performance enhancing drugs, can result in low condom use.16 A 2013 study of men who have sex with men in Bangkok found HIV incidence to be much higher in younger men (8.8 per 100 person-years among those aged 18 to 21, compared to 3.7 per 100 person-years among men over 30).17 Pre-exposure prophylaxis (Pr EP), antiretroviral treatment taken by HIV negative people before potential exposure to HIV in order to stop transmission, is currently being piloted in five sites in Thailand for men who have sex with men.18 This includes the Thai Red Cross Anonymous Clinic, which has been trialing Pre P since 2014.
Although this has led to improvements in the health behaviour of some young people, the impact has only been seen in areas where there have been intensive interventions on a continuous basis.
The scale of these improvements is also too low to have an impact on national STI rates.50 Thailand’s National AIDS Strategy 2012-2016 included a specific objective relating to youth.51 However, NAC’s 2015-2019 Operational Plan for Accelerating Ending AIDS (OPAED) does not name young people as a key affected population or include a specific objective on youth, other than youth in prison.52 Thailand has made great strides in reducing its mother-to-child-transmission (MTCT) rate. This equates to 86 children becoming infected with HIV through this route, a decline of more than 90% over the past 15 years.Of Thailand’s population of more than 60 million, in 2016 it was estimated that 450,000 people were living with HIV and that 6,400 people died of AIDS-related illnesses.1 After sub-Saharan Africa, Asia and the Pacific is the region with the largest number of people living with HIV, with Thailand accounting for approximately 9%.2.